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HomeMy WebLinkAboutMIS96-00454 Pre-Inspection - MIS Inspections - 7/10/1996 - � MASON COUNTY '-� Mason County Bldg, III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 I M I S C E L I A N E O U S PERM I T JR INSPECTIONS CALL 427-9670 MIS96-0454 PARCEL :22325449OO22 PLAT : DIV :? BLK :? LOT :? JOB ADDRESS : NE 1175 MISSION CREEK RD BELFAIR APPLICANT : DAVID COOK JR . OWNER : DAVID COOK JR . LEGAL : TR 2-B OF S112 SE SE TR 2 OF SP #1051 NE 1175 MISSION CR RD PROJECT DESCRIPTION : TO CHECK FOOTINGS FOR PROPER SIZE ON PATIO TO BE COVERED AT A LATER DATE PROJECT LOCATION : FROM BELFAIR GO WEST ON NORTH SHORE FOR ABOUT 4 MILE AT BEFAIR STATE PARK TAKE A RIGHT AT MISSION CR RD GO ABOUT ONE MILE WILL SEE A BLACK AND WHITE SWAN WITH THE #1177 ON LEFT . TAKE THAT LEFT ON DIRT EASEMENT FOLLOW DOWN TO THE RIGHT WE ARE THE FIRST HOUSE ON THE LEFT . PROJECT NOTES : TYPE AMOUNT BY DATE RECEIP" PSIN $ 32 .00 TW 07/ 10/96 42335 I TOTAL : 32 .00 VS PRI0i, rev; 04101 /92 MIS MASON COUNTY PRE-INSPECTION APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584. 427-9670 $25.00 Fee Required prior to inspection PLEASE PRINT #1 Owner _ C'Dd _7e Phone # (3c- �) 0? -75' 'aCO Site Address /V E / / `7 .r" rn; S S viV G le- R d City 13 V-I4� 1 Mail Address city 13 _. I -,CIA ► — St w zip Applicant Phone# Applicant Address LF /4 $ i4 b a V City St Zip #2 Parcel No. o?o� 3c�1 S _ c/ Legal Description #3 Purpose of Pre-Inspection —rO Ckc_.c k p'-wi p'- i �t I T'O t� ( V-C v c—' /� f' i r4-F t roc #4 Use of building #5 Indicate by circling the applicable source if any water is on or adjacent to subject property: saltwater lake creek stream marsh river pond wetland seasonal runoff other Directions to Site: ✓'o M 130,I O " o L-Je 5 t ©-✓ AID rt 1,� s /IC- ft Q -fir f}bo�-f Y►'1+ t 3e 14,1 r 54 41-0- f k l' fi I d►e�' W 11 S e A c 1c e. W �t'�+c kS.`w A N 7'kc :1 1177 -r►41ca - '�l+�t-"t 1fr 1 A0 J D"'et CASE '4. 1 1a'.i t�- .t Al ta `I�­ 12 6 mac. -'rL-.. IV h e o Sc ow -tom /Ir+-r• Show following on the site plan below: Lot Dimensions, Existing Structures, Structure Setbacks, Water Lines, Septic Systems, Flood Zones, Wells, Shorelines, Easements, Name of Flanking & Fronting Streets. Indicate directional by N, S, E, W, etc. N C1 Sys 0", 4 S Applicant Signature Date W FOR OFFICIAL,USE ONLY: Accepted by: _-..__�.. .: _..._ Dater Receipt No. Referred To DEPARTMENTAL REVIEW FOR OFFICIAL USE ONLY Proposal Proposal Approved Denied Planning: Building: I Fire Marshal: _ Special Conditions R